Stress Related Cardiomyopathy during Flexible Bronchoscopy
신정아 ; 하지윤 ; 장윤수 ; 안철민 ; 김형중 ; 이병권 ; 김상용
Korean Journal of Critical Care Medicine (대한중환자의학회지), Vol.28(2) : 127~132, 2013
Korean Journal of Critical Care Medicine (대한중환자의학회지)
Flexible bronchoscopy is a safe medical procedure, but the incidence rate of major complications is 0.08-0.3%. Here, we report 2 cases of stress induced cardiomyopathy, which developed immediately after flexible bronchoscopy. Stress related cardiomyopathy was confirmed by EKG, echocardiography, and coronary angiogram. The cardiac functions of these patients were fully recovered with conservative treatment. Although, the pathogenesis of stress related cardiomyopathy is not well understood, post-bronchoscopy tachycardia or arrhythmia is thought to be associated with hypoxemia or catecholamine excess. Because the clinical presentation is quite similar to acute myocardial infarction, discrete evaluations are required for appropriate treatment.